| Code | Description | Claims | Beneficiaries | Total Paid |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,345 |
7,054 |
$474K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,347 |
4,216 |
$370K |
| V2020 |
Frames, purchases |
7,510 |
7,218 |
$334K |
| 92341 |
|
8,224 |
8,000 |
$249K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,331 |
3,267 |
$238K |
| V2760 |
Scratch resistant coating, per lens |
7,322 |
7,031 |
$211K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,108 |
5,974 |
$143K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,321 |
2,274 |
$128K |
| 92015 |
Determination of refractive state |
5,641 |
5,423 |
$96K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,371 |
1,316 |
$75K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,550 |
1,469 |
$70K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
310 |
300 |
$16K |